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Essay / Research Paper Abstract
This 4 page research paper discusses the escalating costs associated with ED care. Bibliography lists 3 sources.
Page Count:
4 pages (~225 words per page)
File: KL9_khedcost.doc
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Unformatted sample text from the term paper:
medical billing advocate Jean Poole who reports on the case of a 68-year-old man who was hospitalized after going to an ED where he was diagnosed as having both blood
and urinary tract infections, kidney failure and a blood clot. Examination of this article highlights the significance of ED costs and their potential to be burdensome to patients and their
families. Poole found that this client had been charged for brand-name medications while receiving generic, was doubled-billed for some services, and was charged for a private room, which the
patient did not request, as he was in a private room only because no other rooms were available (Bernard B.1). The client received three documents from Blue Cross/Blue Shield, who
carried his secondary insurance, offering explanation of benefits and each explanation offered a different amount due, with the lowest around $164 and the highest ranging to $81,900 (Bernard B.1). Pooles
analysis reduced the clients bill by over $22,000. According to experts, such as Gerard Anderson, director for the Center of Hospital Finance and Management at Johns Hopkins Bloomberg
School of Public Health, hospital charges are often calculated in a very arbitrary manner. He indicates that operating room charges, for example, are not "based upon the cost" or "market
forces," but rather drive from the "whim of the C.F.O. of the hospital" (Bernard B.1). The article goes on to explain that certain hospitals are in a position to command
higher reimbursement from insurers and that this influences the costs that as passed on to patients, which is why consumers should shop around when deciding on a hospital, which may
not be possible during emergency situations (Bernard B.1). ED costs associated with the end-of-life are particularly high and potentially burdensome. A study conducted by Smith and his colleagues examined
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